Advanced Orthopedics New England

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED ORTHOPEDICS NEW ENGLAND

Practice address

54 W Avon Rd
Suite 104
Avon, CT 06001-3680

Phone

(860) 728-6740

Fax

(860) 547-1554

NPI assigned

Apr 21, 2011

Organization subpart

No

Name

David Micah Kruger, M.D.

Title

Physician

Phone

(860) 728-6740

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Orthopedics New England

  • Specialist
  • Rocky Hill, CT
  • NPI 1083905319

  O20041005000030

  Same enrollment
• Advanced Orthopedics New England

  • Orthopaedic Surgery Physician
  • Bloomfield, CT
  • NPI 1215086459

  O20041005000030

  Same enrollment
• Advanced Orthopedics New England

  • Specialist
  • Enfield, CT
  • NPI 1427348770

  O20041005000030

  Same enrollment

Medicare fee-for-service enrollment

Enrolled in CT

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2021.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1225329501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 2126",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051719",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W AVON RD",
            "address_2": "SUITE 104",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013680",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDICS NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-728-6740",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C00117",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Avon, CT
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.